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Hospital Services Report Hospital Services Report March quarter 2003 Notes This document contains the most up-to-date information available at the time of preparation. This Hospital Services Report is available on the Department of Human Services Internet site located at: http://www.health.vic.gov.au/hsr/index.htm Design and production by Department of Human Services, Melbourne, Victoria. March 2003 © Copyright Department of Human Services 2003. This publication is copyright. No part may be reproduced by any process except in accordance with the provisions of the Copyright Act 1968. ii Contents Introduction 1 1. Patients waiting for residential aged care placement 3 2. Hospital admitted patient activity 5 3. Access to emergency services 7 4. Access to critical care services 17 5. Access to elective surgery 19 6. Private health insurance 31 7. Glossary 33 iii Introduction Consumers, health care providers and government all need information on the quality of health services. Public access to information assists consumers to understand the health care system, it assists providers of health services in planning and increases the accountability of the Department of Human Services to the people in the state of Victoria, Australia. The Hospital Services Report was introduced in 1995. This edition includes data for the March quarter 2003, which covers the months of January, February and March. The information included in this report is often requested from the Department. Since technical information of this nature is very difficult to interpret, each graph and table needs to be carefully considered in the context of the complexity of the health care system. Department staff, hospital staff, general practitioners and other health care professionals may be able to assist you to interpret this report. A number of graphs and tables refer to major metropolitan hospitals. A list of the major metropolitan hospitals can be found in the glossary. 1 1. Patients waiting for residential aged care placement How many patients are waiting for residential aged care placements? Figure 1.1 Number of acute and sub acute patients waiting for residential aged care placement 1 2 Patients 800 700 621 565 600 532 Interim Care 500 207 Sub Acute 176 Acute 194 400 300 254 254 211 200 100 135 127 160 0 Sep-02 Dec-02 Mar-03 1 Hospitals reporting sub acute are Angliss, Anne Caudle, Bundoora Extended Care, Bethlehem, Broadmeadows, Caritas Christi, Caulfield General, Dandenong, Goulburn Valley, Grace McKellar, Hampton (before closure in December 2002), Kingston, Latrobe Regional, Maroondah, Mt Eliza, Melbourne Extended Care Rehabilitation Service, Peter James, Queen Elizabeth Centre, Royal Talbot, St George’s, Sunshine and Williamstown. 2 Hospitals reporting acute are The Alfred, Angliss, Austin Hospital, Ballarat, Barwon Health, Bendigo, Box Hill, Dandenong, Frankston, Goulburn Valley, Latrobe Regional, Maroondah, Monash Medical Centre (Clayton & Moorabbin) , The Northern, Rosebud, Royal Melbourne, Sandringham, St Vincent’s, Western and Williamstown. There was no return from Sunshine for this census. Source: Department of Human Services Bed Census. 3 How many bed days are spent waiting for residential aged care placements? Figure 1.2 Number of bed days patients wait for residential aged care placement 1 Total bed days 30,000 25,253 25,000 22,596 20,612 Interim Care 10,723 20,000 Sub Acute Acute 8,136 10,879 15,000 10,000 9,400 7,740 10,901 5,000 3,076 3,977 3,629 0 Sep-02 Dec-02 Mar-03 1 Notes for Figure 1.1 apply. Source: Department of Human Services Bed Census. 4 2. Hospital Admitted Patient Activity How many patients are admitted to hospital? Table 2.1 Admitted patients by individual hospital 1 2 March December March % Change March 2002 Hospital quarter 2002 quarter 2002 quarter 2003 to March 2003 Major metropolitan hospitals 3 Angliss Hospital 5,269 5,688 5,695 8.1% Austin Hospital 16,161 17,076 16,748 3.6% Box Hill Hospital 8,898 9,893 9,685 8.8% Dandenong Hospital 6,956 7,639 7,333 5.4% Frankston Hospital 9,897 10,776 10,560 6.7% Maroondah Hospital 4,739 5,126 4,949 4.4% Monash Medical Centre 18,766 20,277 19,644 4.7% Royal Melbourne Hospital 18,409 20,411 20,044 8.9% St Vincent's Hospital 10,362 11,845 10,915 5.3% Sunshine Hospital 6,897 6,846 6,823 -1.1% The Alfred 13,087 13,937 13,946 6.6% The Northern Hospital 6,365 7,165 6,909 8.5% Western Hospital 7,897 9,210 8,704 10.2% Other metropolitan hospitals Caulfield General Medical Centre 399 533 494 23.8% Mercy Public Hospital, East Melbourne 4,270 4,586 4,544 6.4% Peter MacCallum Cancer Institute 3,243 4,560 4,045 24.7% Royal Children's Hospital 6,895 8,092 7,060 2.4% Royal Women's Hospital 6,364 7,009 7,018 10.3% Sandringham & District Memorial Hospital 3,561 4,042 3,914 9.9% The Royal Victorian Eye and Ear Hospital 2,769 3,073 2,972 7.3% Other metropolitan hospitals 11,564 12,844 12,555 8.6% 1 Data refer to the number of WIES-fundable separations (ie. the number of patients that have been discharged from hospital). 2 2002/2003 data are provisional. 3 Major metropolitan hospitals contain the campuses listed in the Glossary. 5 Table 2.1 Admitted patients by individual hospital (continued) March December March % Change March 2002 Hospital quarter 2002 quarter 2002 quarter 2003 to March 2003 Major regional hospitals Ballarat Health Services 5,903 6,054 5,785 -2.0% Barwon Health 4 12,289 12,904 13,194 7.4% Bendigo Health Care Group 5,327 6,162 5,982 12.3% Goulburn Valley Health 4,597 4,795 5,086 10.6% Latrobe Regional Hospital 5,523 5,757 5,332 -3.5% Other rural hospitals Central Gippsland Health Service 2,505 2,577 2,513 0.3% Northeast Health Wangaratta 2,925 3,289 3,132 7.1% South West Healthcare 3,341 3,711 3,548 6.2% Wimmera Health Care Group 2,108 2,400 2,156 2.3% Wodonga Regional Health Service 4,033 4,355 3,875 -3.9% Other rural hospitals 33,669 37,247 35,268 4.7% Grand total 4 254,988 279,879 270,428 6.1% 4 Data for the December 2002 and March 2003 quarters for Barwon Health were incomplete. Estimates have been included for comparative purposes. Source: Victorian Admitted Episode Dataset (17 May 2003 update). 6 3. Access to Emergency Services How many emergency patients are admitted to hospital? 1 2 3 4 Figure 3.1 Patients admitted to public hospitals requiring emergency care Patients 100,000 97,396 92,871 94,697 96,007 89,940 89,262 92,304 90,000 87,672 82,511 All hospitals 80,000 Major metropolitan hospitals Other hospitals 70,000 59,732 59,149 60,000 56,756 56,960 57,000 54,372 54,449 53,021 49,383 50,000 37,737 37,664 36,858 40,000 35,304 34,651 35,568 36,115 34,813 33,128 30,000 Mar-01 Jun-01 Sep-01 Dec-01 Mar-02 Jun-02 Sep-02 Dec-02 Mar-03 1 Major metropolitan hospitals contain the campuses listed in the Glossary. 2 Data refer to the number of WIES-fundable separations . 3 2002/2003 data are provisional. 4 Data for December 2002 and March 2003 quarters for Barwon Health were incomplete. Estimates have been included for comparative purposes. Source: Victorian Admitted Episode Dataset (17 May 2003 update). 7 How many emergency patients are admitted to hospital? Table 3.1 Emergency admissions 1 2 3 March December March % Change December 2002 % Change March 2002 Hospital quarter 2002 quarter 2002 quarter 2003 to March 2003 to March 2003 Major metropolitan hospitals Angliss Hospital 2,042 2,215 2,165 -2.3% 6.0% Austin Hospital 4,173 5,422 5,204 -4.0% 24.7% Box Hill Hospital 4,127 4,736 4,777 0.9% 15.7% Dandenong Hospital 4,594 5,003 4,730 -5.5% 3.0% Frankston Hospital 5,367 5,864 5,697 -2.8% 6.1% Maroondah Hospital 2,928 3,161 2,894 -8.4% -1.2% Monash Medical Centre 6,169 6,142 6,194 0.8% 0.4% Royal Melbourne Hospital 5,693 5,962 5,691 -4.5% -0.0% St Vincent's Hospital 3,773 3,957 3,657 -7.6% -3.1% Sunshine Hospital 3,359 2,965 2,913 -1.8% -13.3% The Alfred 5,016 4,814 4,597 -4.5% -8.4% The Northern Hospital 3,389 3,722 3,662 -1.6% 8.1% Western Hospital 3,819 5,186 4,819 -7.1% 26.2% 4 Other hospitals total 34,813 36,858 35,304 -4.2% 1.4% Major hospitals total 54,449 59,149 57,000 -3.6% 4.7% Grand total4 89,262 96,007 92,304 -3.9% 3.4% 1 2002/2003 data are provisional. 2 Data exclude elective, maternity, newborn and statistical admissions. 3 Data refer to the number of WIES-fundable separations (ie. the number of patients that have been discharged from hospital). 4 Data for the December 2002 and March 2003 quarters for Barwon Health were incomplete. Estimates have been included for comparative purposes. Source: Victorian Admitted Episode Dataset (17 May 2003 update). 8 How many patients stay for an extended period in the emergency department? Figure 3.2 Patients staying in emergency departments for over 12 hours while waiting for a hospital bed 1 2 Patients 70,000 65,486 64,660 66,138 65,775 64,774 64,071 63,258 63,688 63,312 64,744 61,189 62,339 59,557 60,000 57,347 54,738 50,000 40,000 Total number of patients treated in emergency departments 30,000 Patients staying in emergency department for longer than 12 hours who were admitted to ward 20,000 10,000 2,675 2,732 2,839 2,901 2,602 1,664 1,844 1,595 2,027 2,207 1,692 1,704 1,487 1,400 1,470 0 Jan-02 Feb-02 Mar-02 Apr-02 May-02 Jun-02 Jul-02 Aug-02 Sep-02 Oct-02 Nov-02 Dec-02 Jan-03 Feb-03 Mar-03 1 The period of ‘stay’ is calculated from the time the patient arrives in the emergency department to the time when the patient leaves the emergency department.
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